In vivo pharmacology and toxicology evaluation of polyethylene glycol-conjugated interferon beta-1a

J Pharmacol Exp Ther. 2011 Sep;338(3):984-96. doi: 10.1124/jpet.111.180661. Epub 2011 Jun 20.

Abstract

Human interferon (IFN) β has well established beneficial effects in treating relapsing forms of multiple sclerosis, but current first-line treatment requires frequent (from daily to weekly) parenteral administration. A 20-kDa polyethylene glycol (PEG)-conjugated IFN β-1a (PEG-IFN β-1a) is being developed to decrease the frequency of administration and improve patient convenience and compliance. We present pharmacokinetic (PK) and pharmacodynamic (PD) parameters, immunogenicity, and safety of PEG-IFN β-1a in Rhesus monkeys in support of a phase 1 clinical trial. Two single-dose PK/PD studies and one 5-week repeat-dose toxicity study compliant with good laboratory practice were conducted. The PK of IFN β-1a and PEG-IFN β-1a were modeled with a two-compartment model, and the link between drug concentration and neopterin response (PD marker) was described with an indirect stimulatory model. PEG-IFN β-1a showed greater exposure, longer half-life, lower clearance, and reduced volume of distribution than unmodified IFN β-1a. Consistent with the pharmacology of type I IFNs, PEG-IFN β-1a resulted in the elevation of neopterin concentration, a transient body temperature increase, and a reversible lymphocyte count decrease. As expected, neutralizing antibodies to PEG-IFN β-1a formed in almost all monkeys after 5 weeks of treatment, which resulted in significantly reduced drug exposure and abrogation of neopterin induction. There were no drug-related adverse effects at doses up to 100 μg/kg (11 MIU/kg) given subcutaneously or intramuscularly once weekly for 5 weeks. The no-observed-adverse-effect level was determined to be 100 μg/kg (11 MIU/kg), the highest dose tested.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antineoplastic Agents / chemistry
  • Antineoplastic Agents / pharmacology*
  • Area Under Curve
  • Body Temperature / drug effects
  • Cell Line, Tumor
  • Enzyme-Linked Immunosorbent Assay
  • Feedback, Physiological
  • Half-Life
  • Humans
  • Injections, Intramuscular
  • Injections, Subcutaneous
  • Interferon-beta
  • Interferons / immunology
  • Interferons / pharmacology*
  • Interferons / toxicity*
  • Lymphocyte Count
  • Macaca mulatta
  • Models, Statistical
  • Neopterin / blood
  • No-Observed-Adverse-Effect Level
  • Polyethylene Glycols / pharmacology*
  • Polyethylene Glycols / toxicity*

Substances

  • Antineoplastic Agents
  • Polyethylene Glycols
  • Neopterin
  • Interferon-beta
  • Interferons
  • peginterferon beta-1a